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I recently had a GI MAP done ( https://www.diagnosticsolutionslab.com/ ). It showed that I had H.Pylori present, but not marked "high". It shows my value as 8.5e2 whereas high is >1.0e3. It also showed iceA and vacA virulence factors.

Also, both Clarithromycin and Fluoroquinolones came back positive for Helicobactor Antibiotic Resistance Genes.

I also was marked "high/overgrowth" for Pseudomonas spp. and Pseudomonas aeruginosa.

I got the GI MAP because I have some frequent burping and mild acid reflux from time to time. I don't have some other nasty symptoms some others on here have like nausea, puking, hard to eating, stomach pain, etc.

1) Is the GI MAP a good way to diagnose H.Pylori or would a GI doctor want to do some other test like a breath test first? If GI MAP is not good enough, why not? Because the GI MAP detected H.Pylori and I am experiencing some GI symptoms like burping, does that mean I should automatically treat it with antibiotics?

2) I am really concerned about antibiotic use due to resistance and superinfection. First of all, apparently my H.Pylori is resistant to both of those aforementioned antibiotics PLUS I am allergic to amoxicillin. So I believe that would leave Tetracycline and Metronidazole as options. And secondly, if I also have this Psuedomonas overgrowth, what would the antibiotics inadvertently do to that bacteria? I've heard Pseudomonas aeruginosa is very good at developing resistance to antibiotics so by throwing 2+ new antibotics into my system for H.Pylori, what risks am I taking with this other bacteria in my body?

I think this is very interesting. It's definitely very advance as it is able to detect genes that correlated to antibiotic resistance.

I have to say I am not familiar with this company. it's not a standard test recommended in the guideline. I know gene detection is something that can be done. I myself is trying to create something similar.

Try go to your doctor and see if they would use this as a diagnosis test for H. pylori and give you antibiotics. Hopefully by prescribing other antibiotics will get you cured in one go.

Thanks for the reply. It is my understanding that HP can be present and show up in DNA test like the GI MAP, but it's not actually causing "infection". Is that true? Does that mean I would need something like the antigen stool test to determine if its actually causing infection?

Also, since the strain is resistant to both Clarithromycin and Fluoroquinolones plus I am allergic to amoxicillin, would Tetracycline and Metronidazole be the antibotic choice? Are these antibiotics very safe?

DNA testing is a very broad field. The accuracy of DNA test is really depending on how deep the analysis go down to. Some scientist just use presence or absence of particular gene by doing PCR. I find that highly inaccurate. I only trust sequencing of the piece of DNA and perhaps, also knowing the amount of the template DNA to rule out contamination from laboratory.

I think to be sure, it is better to do either breath or stool test. Endoscopy can give you more insight about the health of your stomach.

One of the side effects of the pylera is cancer. It is strange to me to eradicate a bacteria that can cause cancer with drugs that also may end up giving you cancer.

I believe I have had HP for probably 6+ years, possibly even more like 10-15+ years. Do you think that because I don't have terrible symptoms right now that it would be most responsible to try a more natural cocktail (such as the one outlined here: https://www.naturalmedicinejournal.com/ ... r-products) to at least give it a shot for 1-2 months versus jumping straight to harsh antibiotics?